Nichols, Rebecca A
Nichols, Rebecca A is an sole proprietor health care provider with primary practice located at 210 Simmons St , Maryville TN 37801. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nichols, Rebecca A can be contacted via phone (865) 970-9800.Contact Information
Primary practice address
210 Simmons St
Maryville TN 37801
Phone: (865) 970-9800
Fax: (865) 983-4518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4224 | Tennessee |
Profile Details
| NPI number | 1013985597 |
|---|---|
| LBN Legal business name | Nichols, Rebecca A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jan 22nd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013985597 | NPPES |
| Tennessee | MEDICAID | 3927817 |
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